Covered recipient · General Payments record
LESLIE S GAMACHE
Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism
General Payments · PY2018–2024
$3,573.15
- Reported across 184 records
- CMS publication 2026-01-23
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2024 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $531.42 | 23 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| CHIESI USA, INC. | $61.74 | 2 |
| ABBVIE INC. | $59.44 | 2 |
| Amneal Pharmaceuticals LLC | $56.79 | 3 |
| Medtronic, Inc. | $53.56 | 2 |
| Novo Nordisk AS | $50.20 | 3 |
| Lilly USA, LLC | $45.48 | 2 |
| Astellas Pharma US Inc | $33.54 | 1 |
| SANOFI-AVENTIS U.S. LLC | $27.03 | 1 |
| Amgen Inc. | $26.32 | 1 |
| BETA BIONICS, INC. | $23.50 | 1 |
| Abbott Laboratories | $21.65 | 1 |
| DEXCOM, INC. | $20.32 | 1 |
| Alvogen Inc | $19.96 | 1 |
| Radius Health, Inc. | $16.36 | 1 |
| Xeris Pharmaceuticals, Inc. | $15.53 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (23)
Sorted by paying entity, then date · as published by CMS
Program year 2024 201820192020202120222023
Record-level detail is published for PY2024; earlier years are summarised in
“By program year”.
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Abbott Laboratories | $21.65 | 12/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1125302124 | CMS |
| ABBVIE INC. | $30.05 | 05/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1103768050 | CMS |
| ABBVIE INC. | $29.39 | 11/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1103768052 | CMS |
| Alvogen Inc | $19.96 | 03/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1137624316 | CMS |
| Amgen Inc. | $26.32 | 06/11/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1111579731 | CMS |
| Amneal Pharmaceuticals LLC | $16.33 | 01/09/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139186152 | CMS |
| Amneal Pharmaceuticals LLC | $16.67 | 04/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139186154 | CMS |
| Amneal Pharmaceuticals LLC | $23.79 | 07/30/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139186156 | CMS |
| Astellas Pharma US Inc | $33.54 | 05/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139359143 | CMS |
| BETA BIONICS, INC. | $23.50 | 03/05/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1087874033 | CMS |
| Chiesi USA, Inc. | $34.87 | 03/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1151806673 | CMS |
| Chiesi USA, Inc. | $26.87 | 10/29/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1151806677 | CMS |
| Dexcom, Inc. | $20.32 | 11/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1153316672 | CMS |
| Lilly USA, LLC | $19.59 | 04/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135133632 | CMS |
| Lilly USA, LLC | $25.89 | 07/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135133634 | CMS |
| Medtronic, Inc. | $33.53 | 03/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119513935 | CMS |
| Medtronic, Inc. | $20.03 | 10/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119513937 | CMS |
| Novo Nordisk Inc | $16.97 | 01/16/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1096858199 | CMS |
| Novo Nordisk Inc | $16.52 | 05/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1096733857 | CMS |
| Novo Nordisk Inc | $16.71 | 09/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1097794237 | CMS |
| Radius Health, Inc. | $16.36 | 07/16/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1089969087 | CMS |
| SANOFI-AVENTIS U.S. LLC | $27.03 | 02/27/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139727720 | CMS |
| Xeris Pharmaceuticals, Inc. | $15.53 | 04/09/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1144602745 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-01-23
- Program years on this page
- 2018, 2019, 2020, 2021, 2022, 2023, 2024
- Source files
- Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.